JENNIFER THOMAS (APRN, PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1417528373

JENNIFER THOMAS (APRN, PMHNP) is a healthcare provider. based in Lagrange, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN, PMHNP. They hold a License No. 212148 (GA). The NPI Number for JENNIFER THOMAS (APRN, PMHNP) is 1417528373

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER THOMAS (APRN, PMHNP)
NPI
1417528373
Phone
(706) 845-4054
Address
122 GORDON COMMERCIAL DR STE D
Enumeration Date
1 July 2021
Last Update Date
1 December 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6788542150
Graduation Year
2019 (7 years ago)
PAC ID
1850784489
Group Practice PAC ID
5193712073
Professional Enrollment ID
I20220203000906
Address ID
GA302405754LA122XXDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

9,652 NURSE PRACTITIONER in GA

Provider Addresses for JENNIFER THOMAS (APRN, PMHNP)

  • 122 GORDON COMMERCIAL DR STE D

    LAGRANGE, GA 302405754

    Phone: (706) 845-4054

    Type: Mailing

  • 6848 FLATSTONE CT

    COLUMBUS, GA 319099111

    Phone: (706) 326-8893

    Type: Mailing

  • 3575 MACON RD STE 20

    COLUMBUS, GA 319078258

    Phone: (706) 940-0478

    Fax: (706) 940-0479

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 138 Open Payments records for all available years, with a total value of $2,962.

Total Amount is formed as General ($2,962) + Research ($0) + Ownership ($0) = $2,962.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($645).

Total Amount

$2,962

General + Research + Ownership

Payments

138

Total payment records

General Amount

$2,962

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-02-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220203000906INurse PractitionerGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes3123$0
View full utilization report →

Insurance plans in this area (ZIP 30240)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5193712073View full group profile
NameSpecialtyState
Nurse PractitionerNC
P S Y C H I A T R YGA
P S Y C H I A T R YMO
P S Y C H I A T R YAL
-GA
Mental Health CounselorGA
Physician AssistantGA
-GA
Nurse PractitionerGA
Mental Health CounselorGA

Reviews

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Frequently asked questions

What is the registry number for JENNIFER THOMAS (APRN, PMHNP)?
The registry entry for JENNIFER THOMAS (APRN, PMHNP) shows NPI 1417528373.
Is JENNIFER THOMAS (APRN, PMHNP)'s NPI status active today?
Active status means JENNIFER THOMAS (APRN, PMHNP)'s NPI record is not deactivated in the public file.
What services align with JENNIFER THOMAS (APRN, PMHNP)'s listing?
JENNIFER THOMAS (APRN, PMHNP)'s public classification highlights Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to JENNIFER THOMAS (APRN, PMHNP)?
JENNIFER THOMAS (APRN, PMHNP) shows a connection to Lagrange, Georgia in registry-derived data.
Can I export JENNIFER THOMAS (APRN, PMHNP)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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